Organization Active NPI

Radiology of New York P.C.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Ozone Park, NY
National Provider Identifier
1669455457
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
25MA03219200 Issued in NJ
Legal business name
RADIOLOGY OF NEW YORK P.C.
Practice address
9705 101St Ave
Ozone Park, NY 11416-2523
Phone
(718) 848-0606
NPI assigned
Nov 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Oleks Golo
Title
Administrator
Phone
(718) 848-0606

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 25MA03219200 NJ Primary

Addresses

Primary practice location

9705 101St Ave
Ozone Park, NY 11416-2523

Mailing address

9705 101St Ave
Ozone Park, NY 11416-2523
Phone (718) 848-0606

Other identifiers 1

IdentifierTypeStateIssuer
02692666MedicaidNY

National Provider Directory

National Provider Directory

Locations

9705 101st Ave
Ozone Park, NY 11416
Phone (718) 648-5858

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1669455457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9705 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162523",
            "telephone_number": "718-848-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162523",
            "telephone_number": "718-848-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY OF NEW YORK P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-25",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "GOLO",
        "authorized_official_first_name": "OLEKS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-848-0606",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NJ",
            "license": "25MA03219200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02692666",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.